Provider Demographics
NPI:1013214980
Name:ALANA SACCARO
Entity Type:Organization
Organization Name:ALANA SACCARO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPN/OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:ALANA
Authorized Official - Middle Name:D
Authorized Official - Last Name:SACCARO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-741-0825
Mailing Address - Street 1:11 PATRICIA CT
Mailing Address - Street 2:
Mailing Address - City:MIDDLE ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:11953-1417
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:11 PATRICIA CT
Practice Address - Street 2:
Practice Address - City:MIDDLE ISLAND
Practice Address - State:NY
Practice Address - Zip Code:11953-1417
Practice Address - Country:US
Practice Address - Phone:631-741-0825
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-11
Last Update Date:2011-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY302795-1311Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility